Computational Fluid Dynamics of a Fatal Ruptured Anterior Communicating Artery Aneurysm

被引:8
|
作者
Hejcl, Ales [1 ,2 ]
Svihlova, Helena [2 ,3 ]
Sejkorova, Alena [1 ]
Radovnicky, Tomas [1 ]
Adamek, Daniel [4 ]
Hron, Jaroslav [3 ]
Dragomir-Daescu, Dan [5 ,6 ]
Malek, Josef [3 ]
Sames, Martin [1 ]
机构
[1] Masaryk Hosp, Dept Neurosurg, JE Purkyne Univ, Socialni Pece 12A, Usti Nad Labem 40113, Czech Republic
[2] Fak Nemocnice Brno, Int Clin Res Ctr, Brno, Czech Republic
[3] Charles Univ Prague, Math Inst, Fac Math & Phys, Prague, Czech Republic
[4] Masaryk Hosp, Dept Radiol, Usti Nad Labem, Czech Republic
[5] Mayo Clin, Coll Med, Physiol & Biomed Engn, Rochester, MN USA
[6] Mayo Clin, Coll Med, Biomed Engn, Rochester, MN USA
关键词
aneurysm; computational fluid dynamics; rupture risk; surgery; wall shear stress; CEREBRAL ANEURYSMS; INTRACRANIAL ANEURYSMS; UNRUPTURED ANEURYSMS; HEMODYNAMIC FACTORS; FLOW; POINT; RISK;
D O I
10.1055/s-0037-1604286
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Computational fluid dynamics (CFD) has been studied as a tool for the stratification of aneurysm rupture risk. We performed CFD analysis in a patient operated on for a ruptured anterior communicating artery aneurysm. The point of rupture was identified during surgery. The aneurysm and blood vessels were segmented from computed tomography angiography to prepare a model for simulations. We found that the streamlines showed a concentrated inflow jet directed straight at the rupture point, and high wall shear stress was found at the point of rupture in the aneurysm sac. Thus specific local hemodynamics may be indicative of the aneurysm rupture site.
引用
收藏
页码:610 / 616
页数:7
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